<!--
  ========================LICENSE_START=================================
  screenit-web
  %%
  Copyright (C) 2012 - 2020 Facilitaire Samenwerking Bevolkingsonderzoek
  %%
  This program is free software: you can redistribute it and/or modify
  it under the terms of the GNU Affero General Public License as published by
  the Free Software Foundation, either version 3 of the License, or
  (at your option) any later version.
  
  This program is distributed in the hope that it will be useful,
  but WITHOUT ANY WARRANTY; without even the implied warranty of
  MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
  GNU General Public License for more details.
  
  You should have received a copy of the GNU Affero General Public License
  along with this program.  If not, see <http://www.gnu.org/licenses/>.
  =========================LICENSE_END==================================
  -->
<html xmlns:wicket="http://wicket.apache.org/dtds.data/wicket-xhtml1.4-strict.dtd" xmlns="http://www.w3.org/1999/xhtml">
<wicket:extend>
    <div class="row-fluid">
        <div class="span12 form-horizontal">
            <form wicket:id="birads_form" class="lezing-form-container">
                <div class="row-fluid">
                    <div class="span3">
                        <div class="row-fluid">
                            <div class="span6" wicket:id="biradskeuze"/>
                            <div class="span6 control-group no-label" wicket:id="biradsOpmerkingContainer">
                                        <textarea class="input-fullwidth biradsopmerking" placeholder="Vul opmerking in"
                                                  wicket:id="biradsOpmerking"></textarea>
                            </div>
                        </div>
                        <div class="row-fluid" id="birads-opschort-container" wicket:id="opschortRedenContainer">
                            <div class="span12">
                                <div class="control-group span12">
                                    <div class="control-label" style="padding-top: 0;">
                                        <label class="control-label">Opschorten</label>
                                    </div>
                                    <div class="controls opschortRedenSelector">
                                        <select class="fullwidth" wicket:id="opschortReden">
                                            <option>0</option>
                                        </select>
                                    </div>
                                </div>
                                <wicket:enclosure child="prevOpschortRedenTekst">
                                    <div class="control-group">
                                        <div class="span12">
                                            Vorige opschortreden:<br/>
                                            <i><span wicket:id="prevOpschortRedenTekst"/></i>
                                        </div>
                                    </div>
                                </wicket:enclosure>
                                <div class="control-group" wicket:id="opschortRedenTekstContainer">
                                    <div class="span12">
                                        <label class="control-label" for="opschortreden">Opschortreden</label>
                                        <textarea class="span12 required" name="opschortreden" id="opschortreden"
                                                  wicket:id="opschortRedenTekst"></textarea>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="row-fluid">
                            <div class="span12">
                                <div wicket:id="beperktBeoordeelbaarPanel"></div>
                            </div>
                        </div>
                    </div>
                    <div class="span3">
                        <div class="row-fluid">
                            <div class="span12">
                                <div wicket:id="nevenbevindingenPanel"></div>
                            </div>
                        </div>
                        <div class="row-fluid">
                            <div class="span12">
                                <label class="control-label span12" style="min-height: initial;">Redenen fotobespreking met radioloog</label>
                                <select class="fullwidth" multiple="multiple"
                                        wicket:id="redenenFotobesprekingRadioloog">
                                    <option>0</option>
                                </select>
                            </div>
                        </div>
                        <div class="row-fluid">
                            <div class="span12">
                                <label class="control-label span12" style="min-height: initial;">Redenen fotobespreking met MBB'er</label>
                                <select class="fullwidth" multiple="multiple" wicket:id="redenenFotobesprekingMbber">
                                    <option>0</option>
                                </select>
                            </div>
                        </div>
                        <div class="row-fluid lezingOpslaan">
                            <div class="span12">
                                <div class="form-actions clearfix">
                                    <input type="submit" class="btn btn-primary clearfix lezingOpslaan" x-keypad-bevestigen
                                           wicket:id="formSubmit" value="Opslaan"/>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="span6">
                        <div wicket:id="afbeelding"></div>
                    </div>
                </div>
            </form>
        </div>
    </div>
</wicket:extend>
</html>
